{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T12:07:42Z","timestamp":1792670862056,"version":"4.5.0"},"reference-count":14,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2010,2,1]],"date-time":"2010-02-01T00:00:00Z","timestamp":1264982400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2010,2]]},"abstract":"<jats:p> The optimal method for the management of neglected traumatic bifacetal dislocation of the subaxial cervical spine has not been established. We treated four patients in whom the mean delay between injury and presentation was four months (1 to 5). There were two dislocations at the C5-6 level and one each at C4-5 and C3-4. The mean age of the patients was 48.2 years (27 to 60). Each patient presented with neck pain and restricted movement of the cervical spine. Three of the four had a myelopathy. <\/jats:p><jats:p> We carried out a two-stage procedure under the same anaesthetic. First, a posterior soft-tissue release and partial facetectomy were undertaken. This allowed partial reduction of the dislocation which was then supplemented by interspinous wiring and corticocancellous graft. Next, through an anterior approach, discectomy, tricortical bone grafting and anterior cervical plating were carried out. <\/jats:p><jats:p> All the patients achieved a nearly anatomical reduction and sagittal alignment. The mean follow-up was 2.6 years (1 to 4). The myelopathy settled completely in the three patients who had a pre-operative neurological deficit. There was no graft dislodgement or graft-related problems. Bony fusion occurred in all patients and a satisfactory reduction was maintained. <\/jats:p><jats:p> The posteroanterior procedure for neglected traumatic bifacetal dislocation of the subaxial cervical spine is a good method of achieving sagittal alignment with less risk of iatrogenic neurological injury, a reduced operating time, decreased blood loss, and a shorter hospital stay compared with other procedures. <\/jats:p>","DOI":"10.1302\/0301-620x.92b2.22963","type":"journal-article","created":{"date-parts":[[2010,2,4]],"date-time":"2010-02-04T03:05:19Z","timestamp":1265252719000},"page":"246-249","source":"Crossref","is-referenced-by-count":31,"title":["Neglected traumatic dislocation of the subaxial cervical spine"],"prefix":"10.1302","volume":"92-B","author":[{"given":"A. K.","family":"Jain","sequence":"first","affiliation":[{"name":"University College of Medical Sciences, University of Delhi, Dilshad Garden, Shadara, Delhi 110095, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. K.","family":"Dhammi","sequence":"additional","affiliation":[{"name":"University College of Medical Sciences, University of Delhi, Dilshad Garden, Shadara, Delhi 110095, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. P.","family":"Singh","sequence":"additional","affiliation":[{"name":"University College of Medical Sciences, University of Delhi, Dilshad Garden, Shadara, Delhi 110095, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Mishra","sequence":"additional","affiliation":[{"name":"University College of Medical Sciences, University of Delhi, Dilshad Garden, Shadara, Delhi 110095, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000196673.58429.2a"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198201000-00001"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318175c2fb"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Kahn A, Leggon R, Lindsey RA. Cervical facet dislocation: management following delayed diagnosis. Orthopedics 1998;21:1089\u201391.","DOI":"10.3928\/0147-7447-19981001-07"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Bartels R, Donk R. Delayed management of traumatic bilateral cervical facet dislocation: surgical strategy. J Neurosurg 2002;97(3 Suppl):362\u20135.","DOI":"10.3171\/spi.2002.97.3.0362"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-002-0350-8"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2006.04.021"},{"key":"R8","unstructured":"Rogers WA. Treatment of fracture-dislocation of the cervical spine. J Bone Joint Surg 1942;24:245\u201358."},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Bohlman HH. Acute fractures and dislocations of the cervical spine: an analysis of three hundred patients and review of the literature. 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